David Kavtaradze Md Inc

LBN: David Kavtaradze Md Inc
David Kavtaradze Md Inc is an health care organization with primary practice located at 902 N 7Th St # 100 , Cordele GA 31015-3234. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. David Kavtaradze Md Inc can be contacted via phone (229) 276-2286, or through Kavtaradze, David via phone (229) 271-4608.

Contact Information

Primary practice address
902 N 7Th St # 100 Cordele GA 31015-3234
Phone: (229) 276-2286
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kavtaradze, David Doctor of Medicine (MD)
Phone: (229) 271-4608

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 051148 Georgia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 051148 Georgia

Profile Details

NPI number 1386959179
LBN Legal business name David Kavtaradze Md Inc
DBA Doing business as
Authorized official Kavtaradze, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2010
Last updated Mar 19th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386959179 NPPES
Georgia MEDICAID 000976214D

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